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1. I certify that all of the information I have provided in order to apply for
and secure work with the employer is true, complete and correct.
2. I expressly authorize, without reservation, the employer, its
representatives, employees or agents to contact and obtain information from all
references, employers, public agencies, licensing authorities and educational
institutions and to otherwise verify the accuracy of all information provided by
me in this application, resume, or job interview. I hereby waive any and all
rights and claims I may have regarding the employer, its agents, employees or
representatives, for seeking, gathering and using such information in the
employment process and all other persons, corporations or organizations for
furnishing such information about me.
3. I understand that the employer does not unlawfully discriminate in employment
and no question on this application is used for the purpose of limiting or
excusing any applicant from consideration for employment on a basis prohibited
by applicable local, state or federal law.
4. I understand that this application remains current for 90 days. At the
conclusion of that time, if I have not heard from the employer and still wish to
be considered for employment, it will be necessary to reapply and fill out a new
application.
5. If I am hired, I understand that I am free to resign at any time, with or
without cause and without prior notice, and the employer reserves the same
rights to terminate my employment at any time, with our without cause and
without prior notice, except as may be required by law. This application does
not constitute an agreement or contract for employment for any specific period
or defined duration. I understand that no supervisor or representative of the
employer is authorized to make any assurance to the contrary and that no
implied, oral or written agreements contrary to the foregoing expressed language
are valid unless they are in writing and signed by the employer’s president.
6. I also understand that if I am hired, I will be required to provide proof of
identity and legal authority to work in the United States and that federal
immigration laws require me to complete an I-9 Form in this regard.
7. I understand that any information provided by me that is found to be false,
incomplete or misrepresented in any respect will be sufficient cause to (i)
cancel further consideration of this application, or (ii) immediately discharge
me from the employer’s service whenever it is discovered.
By entering my full name below, I certify that I have read, fully understand and
accept all terms of the foregoing Applicant Statement.
